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P1.9 Evaluation of Affective Temperaments And Arterial Stiffness in Treated Hypertensive Patients

Abstract

Background

Hypertension has widely studied psychosomatic connections, there are, however, only limited data about the influence of affective temperaments. The aim of our study was to evaluate arterial stiffness in hypertensive patients with dominant (DOM) or subdominant affective temperaments (SDOM).

Methods

152 hypertensive patients, free of treated psychiatric diseases, completed the TEMPS-A, Beck Depression Inventory and Hamilton Anxiety Scale in two GP practices. Of those 11 DOM and 11 SDOM patients and 22 hypertensive controls (matched for age, sex and the presence of diabetes) were included for arterial stiffness measurements.

Results

Pulse wave velocity and augmentation index did not differ significantly among the groups studied. Compared to controls, in the combined DOM+SDOM group brachial systolic (130.5 (121.9–138.5) vs. 122.8 (114.4–129.6) mmHg), diastolic (72 ± 1.5 vs. 66.9 ± 1.8 mmHg) and mean blood pressure (91.9 ±1.4 vs. 86 ± 1.9 mmHg) as well as central diastolic (69 ± 1.45 vs. 64.98 ± 1.83 mmHg) and mean blood pressure values (89.4 ± 1.58 vs. 84.65 ± 1.99 mmHg) were significantly lower. Beck and Hamilton scores were significantly higher in the DOM+SDOM group.

Limitations

The cross-sectional design of the study precludes the evaluation of causality.

Conclusion

The similar arterial stiffness parameters besides lower blood pressure values and the increased depression and anxiety scores in the DOM+SDOM group might refer the presence of increased cardiovascular risk. Affective temperaments may play a substantial role in such health-related behaviours, therefore they may be an important factor in developing strategies related to cardiovascular health management.

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This is an open access article distributed under the CC BY-NC license http://creativecommons.org/licenses/by/4.0/.

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Nemcsik, J., László, A., Babos, L. et al. P1.9 Evaluation of Affective Temperaments And Arterial Stiffness in Treated Hypertensive Patients. Artery Res 8, 131 (2014). https://doi.org/10.1016/j.artres.2014.09.090

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  • DOI: https://doi.org/10.1016/j.artres.2014.09.090